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How to obtain a state license for
your Home Health Care Agency?

 

Prepared by 21st Century Health Care Consultants – A Nationwide Company with 17 Years of Experience in the Licensing and Certification of Home health Care Agencies

Starting a home health business is a demanding task. Legal registration and permits for running the business are required, but the most demanding item is the submission of the required state application and preparation for the subsequent state license inspection. The owner also needs to plan out the services that are offered by the home health business for needing patients or the elderly.

Hiring a Home Health Care Consultant

Consider hiring a Home Care Consultant that is knowledgeable about setting up home health care agencies in your state. A good consultant can simplify the process and can expedite the licensing process, assure that you pass the state license inspection, train your personal on how to operate the agency and develop all the manuals that you will need in order to comply with state and federal laws.

21st Century Health Care Consultants prepares all license applications for its clients. It will typically provide a three hole binder which will include the license application itself and all required attachments an index will be provided as the front cover and the book in its entirety will be mailed to the client who will sign where indicated, attach a check for the license fee and mail the book in its entirety to the state authority. This approach organizes the application package for the person reviewing it and avoids the possible misplacement of documents by the person reviewing the application. Since 21st Century Health Care Consultants adopted this method the percentage of immediate approvals, without the need for corrections has increased to 90%.

The content of the licensure applications varies from state to state but there are always three common components:

  • Proof of agency authorization must be provided
  • Criminal Checks must be conducted, and
  • Proof must be provided that key staff members (typically, Administrators and Director(s) of Nursing) are qualified under state regulations.

The amount of proof and the number of forms that states require to substantiate items 1-3 above varies greatly from state to state. Hence applications may be as short as five pages or as long at 55 pages.

Unless an applicant fails to sign the application or fails to provide the required fee, the application will not be sent back to the applicant. Instead, if the application is not filled out properly a letter of corrections or omissions will be sent to the applicant and the applicant will be given anywhere from 15 days to 30 days to make the corrections. If the state is not satisfied with the response the application will then be rejected.

The most common reason for an application rejection is that the state determines that either an Administrator or a Director of Nursing is not qualified to hold their positions. 21st Century Health Care Consultants will not allow a license application to be submitted unless we are certain that the staff members qualify.

Every state that requires a license application will also require a license inspection that will either be conducted by its own inspectors or by an Accrediting body. Eighteen states at present require that the licensure inspection take place before a license is issued. All other states will issue a provisional license or what is in effect a provisional license and then follow it up with an inspection visit.

The Chart below provides the following information: Whether or not license applications are accepted, what services can be provided under your license, whether a state application is required and if the license inspection takes place before or after a license is issued.

PUBLIC INFORMATION CONTACT LIST
(Please be advised that as the information below relates to Public Information you will need to advise the individual who answers that you are seeking licensure information so you can be directed to the right party)

States Application Required Programs Accepted License Inspection
Alabama Certificate of Need
Alaska Yes Priv Duty, Medicare, Medicaid After licensure
Arizona Yes Priv Duty, Medicare, Medicaid After Provisional License
Arkansas Certificate of Need
California Yes Priv Duty, Medicare, Medi- Cal Prior to license, by State
Colorado Yes Priv Duty, Medicare, Medi- Cal Prior to license, by State
Connecticut Yes Priv Duty, Medicare, Medi- Cal Prior to license, by State
Delaware Yes Priv Duty, Medicare, Medicaid
Florida Yes Priv Duty, Medicare, Medicaid Prior to lic, by accrediting body
Georgia Yes Private Duty -Nursing only Within 1 year after license
Hawaii Certificate of Need
Idaho Yes Private Duty -Nursing only “Desk Inspection -no visit- before licensure
Illinois Yes Priv Duty, Medicare, Medicaid Prior to license, by State
Indiana Yes Priv Duty, Medicare, Medicaid Within 90 days after provisional license
Iowa NO Priv Duty, Medicare, Medicaid None
Kansas Yes Priv Duty, Medicare, Medicaid None
Kentucky Certificate of Need
Louisiana Certificate of Need
Maine Yes Priv Duty, Medicare, Medicaid After License issued
Maryland Yes Priv Duty, Medicaid Prior to license, by State
Massachusetts NO Priv Duty, Medicare, Medicaid None
Michigan NO Priv Duty, Medicare, Medicaid None
Minnesota Yes Priv Duty, Medicare, Medicaid Prior to license, by State
Missouri Yes Priv Duty, Medicare, Medicaid Prior to license by accrediting body
Mississippi Certificate of Need
Montana Certificate of Need
Nebraska Yes Priv Duty, Medicare, Medicaid Prior to license, by State
Nevada Yes Priv Duty, Medicare, Medicaid Prior to license, by State
New Hampshire Certificate of Need
New Jersey Yes Priv Duty and Medicaid After License issued
New Mexico Yes Priv Duty, Medicare, Medicaid Prior to license, by State
New York Yes Priv Duty Prior to license, by State
North Carolina Certificate of Need Priv Duty Prior to license, by State
North Dakota Yes Priv Duty, Medicare, Medicaid Prior to license, by State
Ohio NO Priv Duty, Medicare, Medicaid None
Oklahoma Yes Priv Duty, Medicare, Medicaid Prior to license, by State
Oregon Yes Priv Duty, Medicare, Medicaid Prior to license, by State
Pennsylvania Yes Priv Duty, Medicare, Medicaid 2-3 months after license
Rhode Island Certificate of Need
South Carolina Certificate of Need
South Dakota
Tennessee Certificate of Need
Texas Yes Priv Duty, Medicare, Medicaid Required Six months after license
Utah Yes Priv Duty, Medicare, Medicaid Prior to License
Vermont Certificate of Need
Virginia Open 07/01/2012 Priv Duty, Medicare, Medicaid After License issued
Washington, D.C Certificate of Need
Wisconsin Yes Priv Duty, Medicare, Medicaid After Provisional license issued
Wyoming Yes Priv Duty, Medicare, Medicaid After Provisional license issued